DVA RENAL HEALTHCARE INC
NPI: 1427019025
· ROLLA, MO 65401
· 261QE0700X
$880K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,139 |
$138K |
| 2019 |
10,931 |
$155K |
| 2020 |
9,839 |
$121K |
| 2021 |
9,101 |
$200K |
| 2022 |
3,826 |
$142K |
| 2023 |
1,441 |
$75K |
| 2024 |
911 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
21,130 |
1,760 |
$880K |
| Q4081 |
Epoetin alfa, 100 units esrd |
14,037 |
757 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
4,878 |
416 |
$0.00 |
| A4657 |
Syringe w/wo needle |
1,038 |
940 |
$0.00 |
| 83550 |
|
307 |
285 |
$0.00 |
| 82728 |
|
300 |
282 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
199 |
172 |
$0.00 |
| 82306 |
|
124 |
116 |
$0.00 |
| G0008 |
Admin influenza virus vac |
17 |
14 |
$0.00 |
| 85041 |
|
806 |
743 |
$0.00 |
| 82108 |
|
54 |
53 |
$0.00 |
| J1756 |
Iron sucrose injection |
1,770 |
452 |
$0.00 |
| 85048 |
|
806 |
743 |
$0.00 |
| 83540 |
|
305 |
285 |
$0.00 |
| 83970 |
|
386 |
356 |
$0.00 |
| 85045 |
|
31 |
30 |
$0.00 |